Hello,I'm currently leading a work group that is writing policies for a central line bundle. These are policies that haven't been approved/implemented yet. But have done the EBP review for.Hopefully it's helpful. FYI, we're a pediatric facility, so there may be some things that wouldn't apply to adults.We're still working on finalizing our de-clotting policy, or heparin flushing/locking policy, and haven't started the de-accessing policy yet.
I have never changed a port needle just because I have infused or drawn blood through it. (Some places I have been required to change the needleless connector, but not the needle.)I'm curious what the rationale would be for changing the needle after a blood draw? I haven't seen this as a recommendation in any of the the guidelines i've reviewed so far. (The INS warns against changing the needleless connctor too often. That changing the connector for too many reasons increases infection risk versus decreasing. I would assume it'd be similar for the needle, though it wasn't specifically mentioned.)